Individual
HOWARD DARYL MELVIN II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 E 15TH ST STE 520, FORT WORTH, TX 76102-6566
(817) 529-8151
Mailing address
100 E 15TH ST STE 520, FORT WORTH, TX 76102-6566
(817) 529-8151
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
15839
MD
1223G0001X
General Practice Dentistry
32594
TX
1223P0221X
Pediatric Dentistry
Primary
30.027429
OH
1223P0221X
Pediatric Dentistry
32594
TX
Other
Enumeration date
05/28/2015
Last updated
04/12/2024
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